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General NPI Number Information
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NPI Number | 1528317286
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Entity Type | Organization
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Legal Business Name | THE CRUZ CENTER, P.C.
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Dates
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Enumeration Date | 09/09/2012
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 10727 WHITE OAK AVE SUITE 111
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4631
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Country | US
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Telephone | 818-294-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 10727 WHITE OAK AVE SUITE 111
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4631
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Country | US
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Telephone | 818-294-0318
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAY CRUZ SR.
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Credential | OTR/L
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Telephone | 818-294-0318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT6650
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License Number State | CA
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